Accent Dental Center On Forum, Llc | |
1401 Forum Blvd Ste. 203 Columbia MO 65203-1915 | |
(573) 446-7181 | |
(573) 446-1770 |
Full Name | Accent Dental Center On Forum, Llc |
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Speciality | Dentist |
Location | 1401 Forum Blvd, Columbia, Missouri |
Authorized Official Name and Position | Heather R. Burton (OFFICE MANAGER) |
Authorized Official Contact | 5734467181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Accent Dental Center On Forum, Llc 1401 Forum Blvd Ste. 203 Columbia MO 65203-1915 Ph: (573) 446-7181 | Accent Dental Center On Forum, Llc 1401 Forum Blvd Ste. 203 Columbia MO 65203-1915 Ph: (573) 446-7181 |
NPI Number | 1730236894 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 09/16/2021 |
Medicare PECOS PAC ID | 0143627117 |
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Medicare Enrollment ID | O20210920000642 |
Identifier | Type | State | Issuer |
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1730236894 | NPI | - | NPPES |
Provider Name | Walter R Pfitzinger |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1770588972 PECOS PAC ID: 5597906222 Enrollment ID: I20150817002566 |
Provider Name | Eric Lynn Burton |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1578629606 PECOS PAC ID: 1052658010 Enrollment ID: I20210920000733 |
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